Point-of-care Gastric Ultrasound for Fracture Surgery
Trial Parameters
Brief Summary
Although there are fasting guidelines offered by the American Society of Anesthesiology (ASA) for managing preoperative patient assessment, some patients may need to be more cautious about the risk of aspiration. Since ultrasound has been a part of perioperative anesthesiology practice, it is simple to assess gastric content preoperatively with bedside ultrasonography (USG). More research is necessary to define elective surgeries with a possible risk of aspiration. Therefore, we aimed to evaluate the adequacy of standard fasting protocols in post-traumatic fracture surgery by measuring and evaluating gastric volume and content with USG in the preoperative operating room.
Eligibility Criteria
Inclusion Criteria: * • American Society of Anesthesiologists (ASA) Physical Status classification I to III * Patients necessitating surgery after traumatic fracture Exclusion Criteria: * • Patients with a body mass index over 35 * Diseases that may lead to gastroparesis ( * Known gastroesophageal reflux disease * Known autonomic neuropathy * Known diabetes mellitus * Known or operated esophageal abnormalities * History of gastric surgery * Acute gastric or peptic ulcus * Pregnancy * Preoperative narcotic analgesic usage * Known connective tissue disorders like scleroderma or amyloidosis * Known hiatal hernia * Known gallbladder and choledochal stone